BC Biomedical PSR-2200 User Manual

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Page 1

PROGRAMMABLE

PATIENT SIMULATOR

REMOTE CONTROL

WITH TRENDING

PSR-2200

USER MANUAL

Page 2

Page 3

BC BIOMEDICAL

PSR-2200

TABLE OF CONTENTS

DESCRIPTION............................................................................................................. 3

OVERVIEW.................................................................................................................. 4

KEYS............................................................................................................................ 5

SCREENS.................................................................................................................... 7

MESSAGES ................................................................................................................. 9

SETUP ......................................................................................................................... 12

OPERATIONS.............................................................................................................. 13

CONFIGURATION USING A PC..................................................................... 13

CONTROLLING A PATIENT SIMULATOR ..................................................... 20

POWER........................................................................................................... 22

MANUAL REVISIONS.................................................................................................. 23

WARRANTY................................................................................................................. 23

SPECIFICATIONS ....................................................................................................... 24

APPENDIX A – STANDARD CONFIGURATION OUTPUTS ....................................... 25

APPENDIX B – PRE-PROGRAMMED OUTPUTS....................................................... 26

NOTES......................................................................................................................... 38

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NOTICE

BC GROUP INTERNATIONAL, INC. RESERVES THE RIGHT TO MAKE

CHANGES TO ITS PRODUCTS OR SPECIFICATIONS AT ANY TIME, WITHOUT NOTICE, IN ORDER TO IMPROVE THE DESIGN OR PERFORMANCE AND TO SUPPLY THE BEST POSSIBLE PRODUCT. THE INFORMATION IN THIS MANUAL HAS BEEN CAREFULLY CHECKED AND IS BELIEVED TO BE ACCURATE. HOWEVER, NO RESPONSIBILITY

IS ASSUMED FOR INACCURACIES.

CONTACT INFORMATION

BC BIOMEDICAL

BC GROUP INTERNATIONAL, INC.

PO BOX 25125

9415 GENTRY AVE

ST. LOUIS, MO 63125

USA

1-800-242-8428

314-638-3800

www.bcgroupintl.com

sales@bcgroupintl.com

www.bcgroupintl.com

Made in the USA

7/06 Rev 06

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BC GROUP

PSR-2200

PATIENT SIMULATOR REMOTE CONTROL

The Model PSR-2200 is a Microprocessor based remote control for use with the model PS2200 patient simulator series. The remote allows the user to configure the patient simulator and provides pre-programmed configurations as well as programmable key functions and key sequences.

The following are highlights of some of the main features:

• 10 FIXED FUNCTION KEYS

• 18 PROGRAMMABLE FUNCTION KEYS

• PROGRAMMABLE KEY NAMES UP TO 20 CHARACTERS

• 10 STEP KEY SEQUENCE PROGRAMMABILITY

• UP TO 30 HOURS WORTH OF TRENDING CAPABILITY

• PC INTERFACE FOR SIMPLE CONFIGURATION

• LARGE GRAPHICS DISPLAY WITH CURSOR SELECTION OF

OPTIONS AND SETUP OF PARAMETERS

• DISPLAY BACKLIGHT WITH ADJUSTABLE TIMER

• BATTERY LIFE DISPLAY (0 TO 100%)

• SOFTWARE ADJUSTABLE CONTRAST

• PROGRAMMABLE AUTO SHUTDOWN TO CONSERVE

BATTERY LIFE

• FLASH UPGRADEABLE FOR EASY FIRMWARE UPDATES IN THE FIELD

• CUSTOM PROGRAMMABLE FOR LARGE-VOLUME REQUIREMENTS

ACCESSORIES:

BC20 - 41342 COMMUNICATION CABLE (Mini Din F to DB9 F) (For PC to Remote Programming)

OPTIONAL ACCESSORIES:

BC20 - 41338 COMMUNICATION CABLE (Mini DIN F to DB9 M) (For remote to MPS-450 or Marq III) BC20 - 41339 COMMUNICATION CABLE ADAPTER (USB to DB9 M) (For use with BC20-41337)

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OVERVIEW

This section looks at the layout of the PSR-2200 gives descriptions of the elements that are present.

20 Dual Purpose Light Touch Keys 10 keys for control and configuration.

10 Fixed function keys 18 Programmable keys

25’ Coiled Cable For connection to a PC or Patient Simulator

LCD Graphical Display with Backlight: Shows configuration and output setup.

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KEYS

20 soft touch keys are provided for system operation:

– Pressing and holding this key for 3 seconds will turn the unit off. Pressing and

releasing this key will toggle NUM LOCK MODE. Num Lock mode is identified by a ‘NUM’

icon in the upper right corner of the screen.

– These keys will change the selected item on the screen. The selected

item will be highlighted.

– In the SELECT MODE, if a parameter has been highlighted, these keys

with scroll through the available settings.

– This key allows the user to exit the Choices Menu or cancel a selection that has

not been entered.

– This key selects a changed option.

– This key is used to show a list of available choices for the selected setting.

– This key toggles the display mode. The available display modes are ECG

Output, Blood Pressure Output and Operating Mode.

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– These are 10 fixed function keys that configure the Patient

Simulator for a pre-defined output configuration.

NOTE: The default outputs can be adjusted using the PSR-

2200 keys described above (See the CONTROLLING A

PATIENT SIMULATOR Section on page 20 for more details).

(See APPENDIX A – STANDARD CONFIGURATION

OUTPUTS for a description of the default outputs of these

keys.)

– These are user-defined keys that are accessed via the

NUM LOCK MODE. Num Lock is toggled by pressing the

key.

NOTE: The PSR-2200 has been pre-configured with a

default set of NUM LOCK programmed outputs. Each of

these is a programmed sequence (See the TRENDING

CAPABILITIES Section on page 16 for more details).

(See APPENDIX B – PRE-PROGRAMMED OUTPUTS for a

listing of these pre-programmed keys.)

– This key displays the user-defined keys by Keyname. Keynames are

programmable via the computer interface.

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SCREENS

MAIN SCREENS

– There are three main screens: ECG, Blood Pressure and Operating

Mode. The available screens can be toggled using .

ECG SCREEN – The ECG screen shows the current operating mode of the Patient

Simulator as well as the parameters that are available for that mode. Operating modes

available to the remote control are ECG, Arrhythmias, Pacemaker, Performance,

Fetal/Maternal and Cardiac Output.

BLOOD PRESSURE SCREEN – The Blood Pressure screen shows the output settings for

the Patient Simulator Invasive Blood Pressure Output.

NOTE: Not all patient simulators have four blood pressure channels. Changes made to

blood pressure channels that are not present on the patient simulator will not affect the

performance or operation of the patient simulator.

NOTE: Blood Pressure is not active for all operating modes.

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OPERATING MODE SCREEN – This screen shows a list of the available Operating

Modes. This allows for quickly changing between output modes. The last list item allows

for access to the Remote Control Setup screen.

ADDITIONAL SCREENS – There are two additional screens: Remote Control Setup and

Key List.

REMOTE CONTROL SETUP SCREEN – This screen shows the setup for the remote

control. It can be accessed as the last item on the Operating Mode Screen. The user can

select an Auto-Off period, change the LCD Contrast, as well as view the Battery Life and

Firmware Version. (See Setup for more information.)

KEY LIST SCREEN – This screen shows the key names for the 18 programmable keys.

This gives the user the ability to identify a programmed key by name instead of memorizing

key numbers. It can be accessed using the key.

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MESSAGES

Several status messages are available to indicate the present state of the system. The

following is a brief description of the available messages:

NUM LOCK – This is a small graphic overlay located in the upper right corner of the screen

that indicates that the remote is in NUM LOCK MODE and any further key entry will

activate the user programmed key configuration.

KEY NUMBER– This is a small graphic overlay located in the lower right corner of the

screen that indicates which user programmed key function has been loaded.

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SEQUENCE NUMBER– This is a small graphic overlay located in the lower right corner of

the screen that indicates which user programmed key sequence is running.

Key

Number

Sequence

Step

Time until

next step

SAVE PROGRESS– This indicator is shown when a key configuration has been

successfully sent from the PC. During this process, the key configuration data is being

stored to non-volatile memory in the remote control.

LOW BATTERY – This message indicates that the batteries are low and should be

replaced.

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COMMUNICATION ERROR – This message indicates that the simulator did not

acknowledge a command that was sent to it. If the cables are connected properly, cycle

power on the PSR-2200 and the Patient Simulator and try the command again.

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SETUP

The SETUP MODE allows the user to adjust the configuration of the remote. The Setup

screen can be entered using the key and then selecting the Remote Control

Setup item from the Operating Mode list. The parameters can be changed by using

keys to highlight the desired line and to toggle the available

options. The Setup screen can be exited using either the or keys.

The following is a breakdown of the parameters available in the configuration of the unit

and their available options:

System Setup Configuration

Parameter Description Range

Determines the period of inactivity before the unit is turned OFF. A timer is started when the unit is turned ON and is reset each time a key is pressed. When the timer reaches the value set in this

Auto Off Timer (Min)

Backlight Timer

Battery Life

parameter, the power is automatically turned OFF. (NOTE: Setting this parameter to 0 disables the Auto Off timer. When running from line power, the unit does not automatically shut off. Auto Off timer is inactive during a test.)

Off – Always off 1-20 sec – The elapsed time after which the backlight will automatically turn off. Always ON – The backlight will be on

Displays current life of the battery. At 10%, a warning screen will appear. At 0%, the unit will power down automatically.

0-30 Minutes

Off, 1-20 sec,

Always On

0-100%

(Read Only)

LCD Contrast

Software

Sets the contrast of the display screen.

Displays current software program.

0-20

(Read Only)

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OPERATIONS

CONFIGURATION USING A PC

The remote control can be easily programmed through a serial port on any Windows-based

computer. For laptops and computers that do not have a serial port, a USB to serial port

adapter can be used. This utility program can also be used to “clone” a specific remote

control setup to multiple remotes, once the initial remote control is configured and the key

configuration file has been stored to the PC.

INSTALLING THE CONFIGURATION UTILITY:

configuration utility, simply put the CD into your computer’s drive and follow the on-screen

instructions. If the CD does not auto-run, browse to the files contained on the CD and run

the SETUP.EXE program.

RUNNING THE CONFIGURATION UTILITY: At the end of the installation process, you

will be prompted to run the configuration utility. You can start the program at this time, or

close the installation program and run the Configuration Utility from an icon that was added

to your desktop.

NOTE: If the USB to Serial port converter is used, the drivers must be installed before

To install the windows based

running the utility.

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MAIN CONFIGURATION SCREEN (AT A GLANCE):

Use these buttons to select a key to configure

Use this section to select a key as single function or sequence, and to name the key.

This section is utilized to program a key sequence. To end a sequence, set the last step’s time delay to 0.

Use this section of the screen to view or change the configuration of the Patient Simulator for the selected Key.

History of key configuration files.

Model Identification of remote.

Status message

Task Progress Indicator

Com Port being used

Today’s Date

Current Time

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Key Selection:

Use the buttons 1-18 to select a programmable remote

key. The selected key will be depressed, as key 1 is

shown. When a key is selected, the right half of the

screen changes to show the configuration of that key.

LIST: This key is used to view/edit the Keynames.

Key Information:

This box allows the user to select whether a key will

perform a single function or run a sequence of functions

and to view/edit the Keyname.

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Key Sequence:

When a key is set to run a sequence, this window is used to program

each step of the sequence, the delay between each step and the action

to be taken at the end of the sequence. Each step can be programmed

to a specific Operating Mode. The delay between steps is

programmable from 1 to 600 seconds. If any step delay is set to 0

seconds, the sequence will end at that step. At the end of the sequence,

the remote can be set to halt at the current setting or to jump to a

specific programmable key. Nested sequences can be performed by

programming multiple key sequences and having the end of one

sequence jump to another.

Trending Capabilities:

Through the use of Key Sequences, the PSR-2200 is capable of running an endless loop of

trended patient physiological data. The 18 separate programmable keys, each of which

can be programmed with unique waveform outputs for up to 600 seconds each, can be

“daisy-chained” to create a trending pattern with up to 180 unique steps and with a total

trend duration of up to 108,000 seconds (30 hours) worth of waveform data.

The PSR-2200 comes with a pre-programmed set of sequence data already assigned to

specific keys as listed in Appendix B PRE-PROGRAMMED OUTPUTS.

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Control Buttons:

Read Remote: This button is used to read the current settings in the remote.

Download To Remote: This button is used to update the remote with the key

configurations shown on the screen.

Cancel Changes: This button cancels any changes that have been made to the selected

key configuration. Once a new key is selected, the changes cannot be canceled.

Edit Key Name List: This button is used to show the Keyname list window, which shows a

list of all of the Keynames.

Load Key Config File: This button is used to open a key configuration file that has been

saved on the computer. As files are opened, they are added to the Current Key Config File

history for quick future reference. If changes have been made to an open file, you will be

prompted to save them before loading a new file.

Save Key Config File: This button is used to save the current key settings to a file on the

computer.

Current Key Config File: This is a listing of the previous config files that have been

opened. Selecting a file from the list will cause it to open. If changes have been made to

an open file, you will be prompted to save them before loading a new file.

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Keyname List:

The Keyname List is a quick way to view and

change all of the Keynames. By selecting a

Keyname, the right hand section of the

screen will be updated with that key’s

configuration.

Save: This button is used to accept any changes made to the Keynames and the close the

Keyname screen.

Cancel: This button is used to close the Keyname screen without saving any Keyname

changes that were made.

NOTE: Keynames are restricted to 20 characters.

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Output Configuration:

This section shows the Patient Simulator

configuration for the selected key. The buttons at the

bottom select the Output Mode. The dropdown lists

select the setting for each parameter available in the

selected output mode.

File Menu:

Edit Menu:

This menu allows you to load a key configuration file, save a

key configuration file, clear the loaded file list history or exit

the program.

The edit menu provides another way to access the Keyname

list.

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CONTROLLING A PATIENT SIMULATOR

To control a patient simulator, the remote control is first plugged into the AUX connector of

the simulator.

PRE-DEFINED FUNCTIONS:

USER PROGRAMMABLE FUNCTIONS: User programmable functions are accessed

A fixed function can be loaded by pressing the desired key.

To make adjustments to the output selections,

and can be used to select and

modify output settings. When the desired output is

selected, the key is used to send the configuration

to the Patient Simulator. Any changes made on the remote

will be immediately made on the Patient Simulator.

through the NUM LOCK MODE. This mode is set by

pressing the key.

NOTE: The NUM LOCK MODE is identified by the ‘NUM’

icon in the upper right corner of the screen.

To select a pre-programmed output, simply press the number of the output while in NUM

LOCK MODE.

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The key can be used to show the list of Keynames that correspond to the user-

programmable keys. With the List Mode, the user no longer has to remember which key

number corresponds to which Output Mode. The key number can be named and the name

is viewed through the Key List Mode. The keys are used to select the

desired Output Mode and the key is used to activate that output.

When a user-defined key is loaded, a small icon will appear in the lower right corner to

identify which key number is loaded.

Further modifications can be made to the simulator output by exiting the NUM LOCK

MODE and using the and keys to select and modify output

parameters. When the desired output is selected, the key is used to send the

configuration to the Patient Simulator. Any changes made on the remote will be

immediately made on the Patient Simulator.

PATIENT SIMULATOR MODE: The PATIENT SIMULATOR OUTPUT MODE (ECG,

Arrhythmia, Pacemaker, Performance, Fetal/Maternal, or Cardiac) can be selected easily

by pressing the key to select the Operating Mode Menu with the current operating

mode selected. The and keys are used to select the

desired Operating Mode and the or keys are used to activate the new

Output Mode.

POWER:

To turn the remote control off, hold the key for 3 seconds.

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SPECIAL CONFIGURATIONS AVAILABLE:

The PSR-2200 is a unique and extremely versatile instrument, capable of many different

configurations. This capability allows for custom configurations for our large-volume

customers who desire a dedicated and functionally unique remote control for their patient

simulator fleet. If you have special requirements on a large-scale (typically 50 units or

more), please feel free to contact us regarding your needs.

POWER

The PSR-2200 is designed for use with a standard 9V Alkaline battery. Additionally, the

PSR-2200 can also get power from the PS-2200. With the use of a battery eliminator on

the PS-2200, the PSR-2200 can operate indefinitely.

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MANUAL REVISIONS

Revision #

Program # Revisions Made

Rev 01 DT7349CA Preliminary Manual Rev 02 DT7349CA Pre-Programmed Outputs Added Rev 03 DT7349CA Appendices Added Rev 04 DT7349CA Power Information Added Rev 05 DT7349CC Added Backlight Rev 06 DT7349CC Accessories Updated

LIMITED WARRANTY

WARRANTY

FROM DEFECTS IN MATERIALS AND WORKMANSHIP UNDER THE SERVICE FOR WHICH THEY

RE INTENDED. THIS WARRANTY IS EFFECTIVE FOR TWELVE MONTHS FROM THE DATE OF

SHIPMENT.

EXCLUSIONS: THIS WARRANTY IS IN LIEU OF ANY OTHER WARRANTY EXPRESSED OR IMPLIED, INCLUDING, BUT NOT LIMITED TO ANY IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE.

BC GROUP INTERNATIONAL, INC. IS NOT LIABLE FOR ANY INCIDENTAL OR CONSEQUENTIAL DAMAGES.

NO PERSON OTHER THAN AN OFFICER IS AUTHORIZED TO GIVE ANY OTHER WARRANTY OR

SSUME ANY LIABILITY.

REMEDIES: THE PURCHASER'S SOLE AND EXCLUSIVE REMEDY SHALL BE: (1) THE REPAIR OR REPLACEMENT OF DEFECTIVE PARTS OR PRODUCTS, WITHOUT CHARGE. (2) AT THE OPTION OF BC GROUP INTERNATIONAL, INC., THE REFUND OF THE PURCHASE PRICE.

P:\MANUALS\BCGroup\…\PSR-2200\PSR-2200_UM_Rev06.doc

: BC GROUP INTERNATIONAL, INC. WARRANTS ITS NEW PRODUCTS TO BE FREE

Page 26

SPECIFICATIONS

DISPLAY LCD Graphical 128 X 64 Pixels,

ENCLOSURE

WEIGHT

FACE PLATE Lexan, Back printed OPERATING RANGE 15 to 40 C STORAGE RANGE -20 to 65 C

POWER

Physical

Backlit

5.98 x 3.27 x 1.28 Inches (152 x 83 x 32.5 mm)

ABS Plastic

< 1 Lbs

(< 0.45 Kg)

Electrical

Battery, 9 VDC (1 required)

(NEDA 1604)

Alkaline

Page 27

APPENDIX A – STANDARD CONFIGURATION OUTPUTS

There are eleven keys on the remote labeled to provide standard outputs. The following tables detail the outputs for each of the keys:

Key Waveform

NSR

Tachy

Brady

Asyst

A-Flutter

A-Fib

V-Fib

V-Tach

PAC

PVC1

PVC2

Standard Outputs

Normal Sinus Rhythm

@ 80 BPM

Normal Sinus Rhythm

@ 160 BPM

Normal Sinus Rhythm

@ 30 BPM

Ventricular Arrhthmias

Asystole

Supraventricular Arrhythmias

Atrial Flutter

Supraventricular Arrhythmias

Atrial Finrillation – Coarse

Supraventricular Arrhythmias

Ventricular Fibrillation - Coarse

Ventricular Arrhythmias

Ventricular Tachycardia

Premature Arrythmias

Atrial PAC-Auto

Premature Arrythmias

PVC 1 – Auto

Premature Arrythmias

PVC 2 – Auto

Common Configuration

for Standard Outputs

Parameter Setting

ECG Amplitude 1.0 mV

Patient Mode Adult

ST Segment 0 mV ECG Artifact None

Respiration 30 BrPM

Respiration Resistance 1 Ω

Temperature

BP Channel Settings 0 mmHg

37 Deg C/

98.6 Deg F

Page 28

APPENDIX B – PRE-PROGRAMMED OUTPUTS

The PSR-2200 comes with a pre-programmed set of sequence data already assigned to specific keys as listed below:

Performance Waveforms

Common Configuration

for Performance Outputs

Parameter Setting

ECG Amplitude 1.0 mV

Temperature 30.0 Deg C / 86.0 Deg F

BP Channel Settings Not Active

KEY 1 – Square/Triangular Waves Sequence

Step Waveform Duration

1 Square Wave @ 0.125 Hz 10 seconds 2 Square Wave @ 2.000 Hz 10 seconds 3 Triangle Wave @ 2.000 Hz 10 seconds 4 Triangle Wave @ 2.500 Hz 10 seconds 5 Not Used 6 Not Used 7 Not Used 8 Not Used 9 Not Used

10 Not Used

End of Sequence Action Repeat Sequence from Step 1

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KEY 2 – Sine Waves Sequence

Step Waveform Duration

1 Sine Wave @ 0.1 Hz 10 seconds 2 Sine Wave @ 0.5 Hz 10 seconds 3 Sine Wave @ 5.0 Hz 10 seconds 4 Sine Wave @ 10 Hz 10 seconds 5 Sine Wave @ 40 Hz 6 Sine Wave @ 50 Hz 7 Sine Wave @ 60 Hz 8 Sine Wave @ 100 Hz 9 Not Used

10 Not Used

10 seconds 10 seconds 10 seconds 10 seconds

End of Sequence Action Repeat Sequence from Step 1

KEY 3 – Pulse Wave Sequence

Step Waveform Duration

1 Pulse Wave @ 30 BPM 10 seconds 2 Pulse Wave @ 60 BPM 3 Pulse Wave @ 120 BPM 4 Not Used

10 seconds 10 seconds

5 Not Used 6 Not Used 7 Not Used 8 Not Used 9 Not Used

10 Not Used

End of Sequence Action Repeat Sequence from Step 1

KEY 4 – R-Wave Sequence

Step Waveform Duration

1 R-Wave @ 30 BPM 10 seconds 2 R-Wave @ 60 BPM 3 R-Wave @ 80 BPM 4 R-Wave @ 120 BPM 5 R-Wave @ 200 BPM 6 R-Wave @ 250 BPM 7 Not Used 8 Not Used 9 Not Used

10 Not Used

End of Sequence Action Repeat Sequence from Step 1

10 seconds 10 seconds 10 seconds 10 seconds 10 seconds

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Blood Pressure

Common Configuration

for Blood Pressure Outputs

Parameter Setting

ECG Waveform

ECG Amplitude 1.0 mV

Patient Mode Adult

ST Segment 0 mV ECG Artifact None

Respiration 30 BrPM

Respiration Resistance 1 Ω

Temperature 37.0 Deg C / 98.6 Deg F

KEY 5 – Blood Pressure Sequence

Step BP Channels Waveform Duration

1 All Static 0 mmHg 10 seconds 2 All 3 All 4 All 5 All 6 All 7 All 8 All 9 All

10 All

End of Sequence Action Repeat Sequence from Step 1

Static 20 mmHg 10 seconds Static 40 mmHg 10 seconds Static 60 mmHg Static 100 mmHg Static 150 mmHg Static 200 mmHg Static 250 mmHg Static 300 mmHg Static 400 mmHg

Normal Sinus Rhythm

@ 80 BPM

10 seconds 10 seconds 10 seconds 10 seconds 10 seconds 10 seconds 10 seconds

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Respiration

Common Configuration for Respiration Outputs

Parameter Setting

ECG Waveform

ECG Amplitude 1.0 mV

Patient Mode Adult

ST Segment 0 mV ECG Artifact None

Respiration Resistance 1 Ω

Temperature 37.0 Deg C / 98.6 Deg F

BP Channel Settings 0 mmHg

KEY 6 – Respiration Sequence

Step Respiration Rate Duration

1 0 BrPM Apnea 10 seconds 2 15 BrPM 3 20 BrPM 4 30 BrPM 5 40 BrPM 6 60 BrPM 7 80 BrPM 8 100 BrPM 9 120 BrPM

10 Not Used

End of Sequence Action Repeat Sequence from Step 1

KEY 7 – Apnea Sequence

Step Respiration Rate Duration

1 30 BrPM 30 seconds 2 12 Second Apnea 3 30 BrPM 4 22 Second Apnea 5 30 BrPM 6 32 Second Apnea 7 30 BrPM 8 Apnea 9 Not Used

10 Not Used

End of Sequence Action Repeat Sequence from Step 1

Normal Sinus Rhythm

@ 80 BPM

30 sec step time

60 sec step time

10 seconds 10 seconds 10 seconds 10 seconds 10 seconds 10 seconds 10 seconds 10 seconds

30 seconds

10 seconds 15 seconds

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ECG Artifact

Common Configuration

for Artifact Outputs

Parameter Setting

ECG Waveform

ECG Amplitude 1.0 mV

Patient Mode Adult

ST Segment 0 mV

Respiration 30 BrPM

Respiration Resistance 1 Ω

Temperature 37.0 Deg C / 98.6 Deg F

BP Channel Settings 0 mmHg

KEY 8 – ECG Artifact Sequence

Step Artifact Duration

1 None 15 seconds 2 50 Hz Noise 3 60 Hz Noise 4 Muscle 15 seconds 5 Baseline Wander 15 seconds 6 Respiration 15 seconds 7 Not Used 8 Not Used 9 Not Used

10 Not Used

End of Sequence Action Repeat Sequence from Step 1

Normal Sinus Rhythm

@ 80 BPM

15 seconds 15 seconds

Page 33

Temperature

Common Configuration

for Temperature Outputs

Parameter Setting

ECG Waveform

ECG Amplitude 1.0 mV

Patient Mode Adult

ST Segment 0 mV ECG Artifact None

Respiration 30 BrPM

Respiration Resistance 1 Ω

BP Channel Settings 0 mmHg

KEY 9 – Temperature Sequence

Step Temperature Duration

1 0 Deg C / 32.0 Deg F 15 seconds 2 24 Deg C / 75.2 Deg F 3 30 Deg C / 86.0 Deg F 4 35 Deg C / 95.0 Deg F 5 37 Deg C / 98.6 Deg F 6 40 Deg C / 104.0 Deg F 7 42 Deg C / 107.6 Deg F 8 Not Used 9 Not Used

10 Not Used

End of Sequence Action Repeat Sequence from Step 1

Normal Sinus Rhythm

@ 80 BPM

15 seconds 15 seconds 15 seconds 15 seconds 15 seconds

15 Seconds

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Arrhythmias

Common Configuration

for Arrhythmia Outputs

Parameter Setting

ECG Amplitude 1.0 mV

Patient Mode Adult

ST Segment 0 mV ECG Artifact None

Respiration 30 BrPM

Respiration Resistance 1 Ω

Temperature 37.0 Deg C / 98.6 Deg F

BP Channel Settings 0 mmHg

KEY 10 – Premature Sequence

Step Premature Arrhythmia Waveform Duration

1 Atrial PAC – Auto 60 seconds 2 Nodal PNC – Auto 60 seconds 3 PVC 1 – Auto 60 seconds 4 PVC 1 Early – Auto 60 seconds 5 PVC 1 R on R – Auto 60 seconds 6 PVC 2 – Auto 60 seconds 7 PVC 2 Early – Auto 60 seconds 8 PVC R on T – Auto 60 seconds 9 Multifocal PVC – Auto 60 seconds

10 Not Used

End of Sequence Action Repeat Sequence from Step 1

KEY 11 – Supraventricular Sequence

Step Supervent Arrhythmia Waveform Duration

1 Atrial Fibrillation – Course 60 seconds 2 Atrial Fibrillation – Fine 60 seconds 3 Atrial Flutter 60 seconds 4 Atrial Tachycardia 60 seconds 5 Paroxysmal Atrial Tachycardia 60 seconds 6 Supraventricular Tachycardia 60 seconds 7 Sinus Arrhythmia 60 seconds 8 Missed Beat – Auto 60 seconds 9

Missed Beat – Manual

10 Nodal Rhythm 60 seconds

End of Sequence Action Repeat Sequence from Step 1

60 seconds

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KEY 12 – Ventricular Sequence

Step Ventricular Arrhythmia Waveform Duration

1 Pair of PVCs – Auto 60 seconds 2 Run of 5 PVCs – Auto 60 seconds 3 Run of 11 PVCs – Auto 60 seconds 4 6 PVCs per Minute 60 seconds 5 12 PVCs per Minute 60 seconds 6 24 PVCs per Minute 60 seconds 7 Frequent Multifocal PVCs 60 seconds 8 Bigeminy 60 seconds 9 Trigeminy 60 seconds

10 Ventricular Tachycardia 60 seconds

End of Sequence Action Repeat Sequence from Step 1

KEY 13 – Conduction Sequence

Step Conduction Arrhythmia Waveform Duration

1 1st Degree Heart Block 60 seconds 2 2nd Degree Heart Block 60 seconds 3 3rd Degree Heart Block 60 seconds 4 Right Bundle Branch Block 60 seconds 5 Left Bundle Branch Block 60 seconds 6 Not Used 7 Not Used 8 Not Used 9 Not Used

10 Not Used

End of Sequence Action Repeat Sequence from Step 1

KEY 14 – Pacemaker Sequence

Step Pacemaker Waveform Duration

1 Atrial @ 80 BPM 60 seconds 2 Asynchronous @ 75 BPM 60 seconds 3 Non-Capture 60 seconds 4 Non- Function 60 seconds 5 Demand – Occasional 60 seconds 6 Demand – Frequent 60 seconds 7 AV Sequential 60 seconds 8 Not Used 9 Not Used

10 Not Used

End of Sequence Action Repeat Sequence from Step 1

Page 36

Fetal / Maternal

Common Configuration

for Fetal / Maternal Outputs

Parameter Setting

Maternal ECG 80 BPM

Fetal ECG 120 BPM

Trigger Mode 2 Minutes

KEY 15 – Fetal / Maternal Sequence

Step IUP Simulation Duration

1 Uniform Deceleration 360 seconds 2 Early Deceleration 360 seconds 3 Late Deceleration 360 seconds 4 Uniform Acceleration 360 seconds 5 Not Used 6 Not Used 7 Not Used 8 Not Used 9 Not Used

10 Not Used

End of Sequence Action Repeat Sequence from Step 1

Sick Patient

Common Configuration

for Sick Patient Outputs

Parameter Setting

ECG Amplitude 1.0 mV

Patient Mode Adult

Respiration Resistance 1 Ω

Page 37

KEY 16 – Sick Patient 1 Sequence

Step IUP Simulation Duration

Heart Rate

ST Elevation

Artifact

Respiration

Temperature

BP Channel 1

Heart Rate

ST Elevation

Artifact

Respiration

Temperature

BP Channel 1

Heart Rate

ST Elevation

Artifact

Respiration

Temperature

BP Channel 1

Heart Rate

ST Elevation

Artifact

Respiration

Temperature

BP Channel 1

Heart Rate

ST Elevation

Artifact

Respiration

Temperature

BP Channel 1

Heart Rate

ST Elevation

Artifact

Respiration

Temperature

BP Channel 1

Heart Rate

ST Elevation

Artifact

Respiration

Temperature

BP Channel 1

Heart Rate

ST Elevation

Artifact

Respiration

Temperature

BP Channel 1

120/80 w/5 mm artifact

120/80 w/10 mm artifact

120/80 w/16 mm artifact

120/80 w/10 mm artifact

9 Not Used

10 Not Used

End of Sequence Action Repeat Sequence from Step 1

90 BPM

0.1 mV None

40 BrPM

35 Deg C/95 Deg F

120/80

100 BPM

0.0 mV

Respiration

40 BrPM

40 Deg C/104 Deg F

120 BPM

0.5 mV

Baseline Wander

60 BrPM

40 Deg C/104 Deg F

140 BPM

0.4 mV

Muscle

60 BrPM

42 Deg C/104 Deg F

180 BPM

0.8 mV

Baseline Wander

80 BrPM

40 Deg C/104 Deg F

140 BPM

0.4 mV None

60 BrPM

40 Deg C/104 Deg F

100 BPM

0.1 mV

Baseline Wander

40 BrPM

35 Deg C/95 Deg F

120/80

90 BPM

0.1 mV None

40 BrPM

35 Deg C/95 Deg F

120/80

60 seconds

15 seconds

30 seconds

10 seconds

15 seconds

Page 38

NSR Rate

Common Configuration

for NSR Rate Outputs

Parameter Setting

ECG Amplitude 1.0 mV

Patient Mode Adult

ST Segment 0 mV ECG Artifact None

Respiration 30 BrPM

Respiration Resistance 1 Ω

Temperature 37.0 Deg C / 98.6 Deg F

BP Channel Settings 120/80

KEY 17 – NSR Rate Ramp Sequence

Step ECG Respiration Duration

1 20 BPM 15 BrPM 15 seconds 2 40 BPM 20 BrPM 15 seconds 3 45 BPM 40 BrPM 15 seconds 4 60 BPM 60 BrPM 15 seconds 5 80 BPM 80 BrPM 15 seconds 6 90 BPM 80 BrPM 15 seconds 7 100 BPM 100 BrPM 15 Seconds 8 120 BPM 120 BrPM 15 Seconds 9 140 BPM 120 BrPM 15 Seconds

10 180 BPM 120 BrPM 15 Seconds

End of Sequence Action Repeat Sequence from Step 1

Page 39

Ventricular Fibrillation

Common Configuration

for V-Fib Outputs

Parameter Setting

ECG Amplitude 1.0 mV

Patient Mode Adult

ST Segment 0 mV ECG Artifact None

Respiration 30 BrPM

Respiration Resistance 1 Ω

Temperature 37.0 Deg C / 98.6 Deg F

BP Channel Settings 0 mmHg

KEY 18 – V-Fib Sequence

Step Waveform Duration

1 NSR @ 80 BPM 30 seconds 2 Run of 5 PVCs 30 seconds 3 NSR @ 80 BPM 30 seconds 4 Run of 11 PVCs 30 seconds 5 Ventricular Tachycardia 15 seconds 6 Ventricular Fibrillation – Course 10 seconds 7 Ventricular Fibrillation – Fine 10 seconds 8 Asystole 10 seconds 9 Not Used

10 Not Used

End of Sequence Action Repeat Sequence from Step 1

Page 40

NOTES

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39 40

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